The EHR Systems in the Context of the Public Health Care Financing in the Russian Federation during Economy Transition

摘要

Today's milieu of healthcare information systems on the post-USSR territories is a loose alloy of the inherited pre-perestroika structures with the modem healthcare governance initiatives, against the background of the rapidly developing private sector in the medical IT-industry. By providing a general picture of the diverse infrastructure that the new IT-systems of today rely on for better care delivery, we have tried to outline and accentuate the following: a growing degree of awareness of the need to develop this sector, to eliminate the inefficiencies of the triple-channel system of care budgeting, with each of the three elements - the Social Insurance Fund, the Obligatory Insurance Fund, and the Pension Fund of the Russian Federation - often serving literally the same means, and the developmental context for the formation of a nation-wide system of the personal socio-medical records in the Russian Federation.